CHARLES LARCOM IV, MD
Internal Medicine - Pulmonary Disease
Active
Individual
NPI: 1336604297
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | No | 74919-20 (WI) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Internal Medicine - Pulmonary Disease | 207RP1001X | Yes | 7491920 (WI) |
| Internal Medicine | 207R00000X | No | 7491920 (WI) |
| Internal Medicine - Critical Care Medicine | 207RC0200X | No | 7491920 (WI) |
Frequently Asked Questions
NPI 1336604297 is the National Provider Identifier for CHARLES LARCOM IV, MD, a Internal Medicine - Pulmonary Disease provider located in Tacoma, WA. This NPI was enumerated on February 5, 2019.
CHARLES LARCOM IV, MD practices at 9040 JACKSON AVE, Tacoma, WA 98431.
Quick Facts
- NPI
- 1336604297
- Type
- Individual
- Enumerated
- Feb 5, 2019
- Last Updated
- Jul 18, 2025
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